SEC Form 4 · accession 0001140361-17-035981
HEALTHEQUITY, INC. · HQY
Statement of changes in beneficial ownership, as filed. Original on EDGAR ↗
Reporting owner
Gayle Furgurson Wellborn
Director
Period of report
Aug 1, 2017
Accepted (ET)
Sep 19, 2017 · 9:16 pm EDT
Rule 10b5-1 plan
unknown — predates the checkbox
Issuer CIK
0001428336
Table I — non-derivative securities
| Security | Date | Code | Shares | Price | A/D | Owned after | D/I | Nature of ownership |
|---|---|---|---|---|---|---|---|---|
| Common Stock | Aug 1, 2017 | A | 2,644 | $0.00 | A | 2,644 | D |
Table II — derivative securities
| Security | Conv. / exercise price | Date | Code | Shares | A/D | Exercisable | Expires | Underlying | Underlying shares | Owned after | D/I |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Stock Option (right to buy)F1 | $47.21 | Aug 1, 2017 | A | 7,736 | A | — | Aug 1, 2027 | Common Stock | 7,736 | 7,736 | D |
Explanation of responses
- F1The option becomes exercisable as to 2,439 shares on January 31, 2018. The option becomes exercisable as to the remaining 5,297 shares in three equal annual installments on August 1, 2018, 2019 and 2020.
Remarks
The Power of Attorney given by Ms. Wellborn was previously filed with the U.S. Securities & Exchange Commission on September 19, 2017 as an exhibit to a statement on Form 3 filed by Ms. Wellborn with respect to HealthEquity, Inc. and is hereby incorporated by reference.